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Updated: May 27, 2026

Isolation and Expansion of Cytotoxic Cytokine-induced Killer T Cells for Cancer Treatment
Published on: January 24, 2020
Natural killer cell engineering for cellular therapy of cancer
1Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA. david.shook@stjude.org
Abstract:
Natural killer (NK) cells can kill transformed cells and represent a promising tool for the treatment of cancer. Their function is governed by a balance of stimulatory and inhibitory signals triggered by surface receptors. Advances in NK cell therapy require the development of dependable methods for obtaining an adequate number of effector cells; additional activation or genetic modification may further increase their anticancer capacity. A method for NK cell expansion used in our laboratory relies on a genetically modified form of the K562 myeloid leukemia cell line, engineered to express a membrane-bound form of interleukin-15 and the ligand for the costimulatory molecule 4-1BB (CD137). Expanded NK cells can be transduced with genes encoding chimeric antigen receptors that stimulate tumor cell-specific cytotoxicity. These methods for NK cell expansion and genetic modification have been adapted to large-scale, clinical-grade, Current Good Manufacturing Practice conditions and support two active clinical trials. Summarized are current efforts for NK cell immunotherapy for cancer and future perspectives.
Insights
Natural killer (NK) cells show promise for cancer treatment. Researchers developed methods for expanding and genetically modifying NK cells to enhance their tumor-killing ability for clinical trials.
Area of Science:
- Immunology
- Cell Biology
- Oncology
Background:
- Natural killer (NK) cells are crucial for identifying and eliminating transformed cells.
- NK cell function is regulated by a complex interplay of activating and inhibitory surface receptors.
- Effective NK cell-based cancer immunotherapy necessitates robust methods for generating sufficient effector cells.
Purpose of the Study:
- To describe a method for expanding and genetically modifying NK cells for cancer immunotherapy.
- To detail the engineering of K562 leukemia cells to support NK cell expansion.
- To outline the adaptation of these methods for clinical-grade, large-scale production.
Main Methods:
- Genetically engineered K562 leukemia cells expressing membrane-bound interleukin-15 and 4-1BB ligand were used for NK cell expansion.
- Expanded NK cells were subsequently transduced with chimeric antigen receptors (CARs) to enhance tumor-specific cytotoxicity.
- The entire process was optimized for Current Good Manufacturing Practice (cGMP) conditions.
Main Results:
- The described method enables the generation of a sufficient number of activated NK cells.
- Genetically modified NK cells exhibit enhanced tumor-specific cytotoxic activity.
- The methods have been successfully scaled for clinical application, supporting active trials.
Conclusions:
- The developed NK cell expansion and genetic modification techniques provide a viable strategy for cancer immunotherapy.
- These cGMP-compliant methods support the advancement of NK cell-based clinical trials.
- Further development holds promise for improving NK cell therapy efficacy in cancer treatment.
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